Organization Active NPI

Jostock Dental Associates, P.C.

  • Dentist
  • Sterling Heights, MI
National Provider Identifier
1659596195
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D11071 Issued in MI
Legal business name
JOSTOCK DENTAL ASSOCIATES, P.C.
Practice address
38951 Ryan Rd
Sterling Heights, MI 48310-2990
Phone
(586) 978-8233
Fax
(586) 978-8516
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael Erich Jostock, D.D.S.
Title
President
Phone
(586) 978-8233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D11071 MI Primary

Addresses

Primary practice location

38951 Ryan Rd
Sterling Heights, MI 48310-2990

Mailing address

38951 Ryan Rd
Sterling Heights, MI 48310-2990
Phone (586) 978-8233

Other names 1

  • Michael E.Jostock D.D.S. P.C. Former legal business name

National Provider Directory

National Provider Directory

Locations

38951 Ryan Rd
Sterling Heights, MI 48310
Phone (586) 978-8233

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1659596195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38951 RYAN RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483102990",
            "telephone_number": "586-978-8233",
            "fax_number": "586-978-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38951 RYAN RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483102990",
            "telephone_number": "586-978-8233",
            "fax_number": "586-978-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSTOCK DENTAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "JOSTOCK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ERICH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-978-8233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "D11071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael E.Jostock D.D.S. P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.